Zusammenfassung
Die Fremdkörperaspiration bei Erwachsenen ist ein seltenes Ereignis, sie stellt allerdings
eine mögliche ernstzunehmende Komplikation zahnärztlicher Behandlung dar. Wir berichten
über einen 77-jährigen Patienten mit chronischem Reizhusten nach unerkannter Aspiration
einer Stiftkrone. Das Implantat verblieb drei Jahre als endobronchialer Fremdkörper
im Unterlappenbronchus. Eine bronchoskopische Bergung misslang, so dass bei chronischer
Retentionspneumonie der rechte Unterlappen im Sinne einer Lobektomie entfernt werden
musste. Eine Übersicht über Ursachen, Therapie und Komplikationsvermeidung erfolgt.
Abstract:
Aspiration of foreign bodies is extremely rare in adults, but it may occur during
the course of dental treatment and become a serious problem for the patient. A case
of a 77-year old man with chronic cough after dental treatment and unrecognised aspiration
of an implant is presented. The implant remained unidentified for three years as an
endobronchial foreign body of the lower lobe bronchus. A bronchoscopic removal failed
and surgery was indicated for lobectomy of the right lower lobe because of chronic
pneumonia. A review of prevention, signs and symptoms, management and documentation
of the complications is presented.
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Dr. med. Katrin Welcker
Krankenhaus Großhansdorf, Zentrum für Pneumologie und Thoraxchirurgie
Wöhrendamm 80
22927 Großhansdorf
Email: drwelcker@t-online.de
